title: Out of Eastern Africa: defibulation and sexual function in woman with female genital mutilation.
abstract: BACKGROUND
  Female genital mutilation (FGM) is defined by the World Health Organization (WHO) as all procedures that involve partial or total removal of the female external genitalia and/or injury to the female genital organs for cultural or any other non-therapeutic reasons.
  
  
  OBJECTIVE
  Aim of this study was to determine sexual function before and after defibulation using a CO(2) laser in migrant women who had undergone FGM in the past.
  
  
  METHODS
  Female Sexual Function Index (FSFI) before and 6 months after defibulation.
  
  
  METHODS
  Patients were asked to fill the FSFI before surgery and at 6 months follow-up. Defibulation took place under general anesthetic using a CO(2) laser.
  
  
  RESULTS
  Eighteen patients underwent defibulation in a standardized manner and filled in the FSFI completely. Female sexual function improves after surgical defibulation in the domains desire, arousal, satisfaction, and pain whereas lubrification and orgasm remained unchanged.
  
  
  CONCLUSIONS
  Defibulation using CO(2) laser may improve some aspects of sexual function in patients who undergo defibulation but not all.
authors.affiliation: Department of Urogynaecology, Frauenklinik, Inselspital, University of Bern, Bern, Switzerland.
authors.forename: Elke
authors.initials: E
authors.lastname: Krause
authors.forename: Sonja
authors.initials: S
authors.lastname: Brandner
authors.forename: Michael D
authors.initials: MD
authors.lastname: Mueller
authors.forename: Annette
authors.initials: A
authors.lastname: Kuhn
mesh_terms: D000293:Adolescent; D000328:Adult; D000351:Africa, Eastern; D019093:Circumcision, Female / Q000523:psychology* / Q000534:rehabilitation; D005260:Female; D005836:Genitalia, Female / Q000601:surgery*; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D053685:Laser Therapy / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods; D012725:Sexual Behavior / Q000523:psychology*; D055815:Young Adult